Active NPIIndividual provider

Katie M Teller, PA

Physician Assistant, Medical in North Easton, Massachusetts

NPI Number1083890792
Practice location
320 Washington St, North Easton, MA 02357-1607
Fax
—
Last updated
October 5, 2020

Katie Mccoy Teller is a Physician Assistant, Medical based in North Easton, MA. Katie Mccoy Teller practices in North Easton, MA and has the professional credentials of PA. The NPI Number for Katie Mccoy Teller is 1083890792 and holds a License No. 100616T (MA). The current practice location address for Katie Mccoy Teller is 320 Washington St, North Easton, MA 02357-1607 and can be reached out via phone at 508-565-1307.

Provider Profile Details

NPI Number
1083890792
Provider Name
Katie Mccoy Teller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
320 Washington St, North Easton, MA 02357-1607
Phone Number
508-565-1307
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Katie P Mccoy (Former Name)
Provider Enumeration Date
January 11, 2008
Last Update Date
October 5, 2020
Certification Date
September 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Washington St
North Easton, MA 02357-1607
Zip
02357-1607
Phone Number
508-565-1307
North Easton, MA 02357Get directions →

Provider Business Mailing Address Details

Address
2014 Washington St
Newton, MA 02462-1607
City
Newton
State
MA
Zip
02462-1607
Phone Number
617-243-6014

License Information

License Number
100616T
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie M Teller, PA?

The NPI number of Katie M Teller, PA is 1083890792. It was assigned on January 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Katie M Teller, PA?

Katie M Teller, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 100616T.

Where does Katie M Teller, PA practice?

The practice location is 320 Washington St, North Easton, MA 02357-1607. The office can be reached at 508-565-1307 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083890792 directly on the NPPES registry website.

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